PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
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The Effects of Upper and Lower Limb Coordinated Exercise of PNF for Balance in Elderly Woman

고유수용성신경근촉진법의 상하지 협응 운동이 여성노인의 균형능력에 미치는 효과

  • Cho, Hyuk-Shin (Department of Physical Therapy, Wonkwang Health Science University) ;
  • Shin, Hyo-Seob (Rehabilitation center, Iksan Hospital) ;
  • Bang, Dae-Hyuk (Rehabilitation center, Wonkwang Oriental Medical Hospital)
  • 조혁신 (원광보건대학교 물리치료과) ;
  • 신효섭 (익산병원 물리치료실) ;
  • 방대혁 (원광대한방병원 물리치료실)
  • Received : 2015.12.01
  • Accepted : 2015.12.15
  • Published : 2015.12.30
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Abstract

Purpose: This study aimed to examine the effects of proprioceptive neuromuscular facilitation (PNF) upper and lower limb coordinated exercises on balance in elderly women. Methods: The study was conducted with 27 elderly women who were at least 65-year-old. The subjects were randomly assigned to a PNF upper and lower limb coordinated exercise group consisting of 14 subjects and an aero step balance exercise group consisting of 13 subjects, and the exercises were performed for 30 minutes, three times per week, for eight weeks. One Leg Stance Tests (OLST), Functional Reaching Tests (FRT), Four Square Step Tests (FSST), and Timed Up and Go (TUB) tests were conducted before and after the exercises to evaluate the subjects' static balance ability and dynamic balance ability. Among the collected data, the subjects' general characteristics were evaluated using descriptive statistics, the intra-group differences of the test results before and after the intervention were compared using paired sample t-tests, and the inter-group differences in the results before and after the intervention were evaluated using independent sample t-tests. The statistical significance level was set to 0.05. Results: Among the OLST, FRT, FSST, and TUG tests, the experimental group showed positive FSST results that were statistically significantly greater than the control group; the results of the other tests were also more positive for this group, but the differences between the groups were not statistically significant. The magnitude of the effects for both groups was clinically significant. Conclusion: Since inter-limb coordinated exercises for PNF applied to elderly women were found to produce good results for both static balance ability and dynamic balance ability, these exercises can be used in exercise programs to improve balance in elderly women.

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References

  1. Brovold T, Skelton DA, Bergland A. Older adults recently discharged from the hospital: effect of aerobic interval exercise on health-related quality of life, physical fitness, and physical activity. Joural of the American Geriatrics Society. 2013;61(9):1580-1585. https://doi.org/10.1111/jgs.12400
  2. Cho HS. The effect of coordinative pattern exercise of upper and lower extremities for balance and gait in chronic stroke patients. Daejeon University. Dissertation of Doctorate Degree. 2014.
  3. Choi YS. Influence of the silver line dance applied to the elderly on the balance during walking. The Journal of the Korea Contents Association. 2013;13(3):109-118. https://doi.org/10.5392/JKCA.2013.13.03.109
  4. Dietz B. Let's sprint, let's skate : Innovationen im PNF-Konzept. Heidelberg. Springer. 2009.
  5. Hahm KL, Lee WH. The effects of sling exercise on fall risk score, ankle dorsiflexion and balance in community-dwelling elderly women. Journal of muscle and joint health. 2009;16(2):165-173.
  6. Jung KS. Effects of weight shifting training on an unstable surface on onset latency of trunk muscles, balance performance, and proprioception for patients with chronic stroke. Sahmyook University. Dissertation of Master's Degree. 2009.
  7. Kim MC, Ahn CS, Kim YS. The effect of exercise program for falls prevention on balance and quality of life in the elderly women. Journal of the Korean Society of Physical Medicine. 2010;5(2):245-254.
  8. Kim SH. The effect of PNF exercise on body functions and fall efficacy of elderly women. Chonnam University. Dissertation of Doctorate Degree. 2012.
  9. Kim TY. The effect of strengthening exercise using the sprinter/skater patterns. Journal of the Korean Proprioceptive Neuromuscular Facilitation Association. 2006;4(1):71-79.
  10. Kwon KH, Jung YW, Bae SS. Effect of lower extremity patterns of proprioceptive neuromuscular facilitation on balance ability in patients with hemiplegia. Journal of the Korean Proprioceptive Neuromuscular Facilitation Association. 2007;5(2):21-35.
  11. Lee HK, Lee JC, Song GH. The effects of rhythmic sensorimotor training in unstable surface on balance ability of elderly women. Journal Korean Society Physical Medicine. 2014;9(2):181-191. https://doi.org/10.13066/kspm.2014.9.2.181
  12. Lee SH. The differences between aero step exercises and weight training on posture, physical fitness, balance, and hormone levels in the elderly. Dissertation of Master's Degree. 2007.
  13. Ruiz R, Richardson MT. Functional balance training using domed device. The Journal of Strength & Conditioning Research. 2005;27(1):50-55. https://doi.org/10.1519/JSC.0b013e318252f5fe
  14. Shim JK, Park JB, Kim MJ, et al. Motor variability and synergy research through uncontrolled manifold analysis. Korean Society of Sport Psychology. 2011;22(4):127-142.
  15. Sherrington C, Whitney JC, Lord SR, et al. Effective exercise for the prevention of falls: a systematic review and meta-analysis. Journal American Geriatric Society. 2008;56(12):2234-2243. https://doi.org/10.1111/j.1532-5415.2008.02014.x
  16. Song KA, Mun JS, Kang SS, et al. The survey of activities and fear of falling in the community dwelling elderly. Journal Korean Society Public Health Nursing. 2001;15(2):324-333.
  17. Tinneti ME, Liu WL, Claus EB. Predictors and prognosis of inability of get up after falls among elderly persons. The Journal of the American Medical Association. 1993;269(1):65-70. https://doi.org/10.1001/jama.1993.03500010075035
  18. Verrel J, Pologe S, Manselle W, et al. Coordination of degrees of freedom and stabilization of task variables in a complex motor skill: extertise-related defferences in cello bowing. Experimental brain research. 2013; 224(3):323-334. https://doi.org/10.1007/s00221-012-3314-2
  19. Wilson OJ, Shaw CS, Sherlock M, et al. Immunofluorescent visualisation of focal adhesion kinase in human skeletal muscle and its associated microvasculature. Histochemistry and cell biology. 2012;138(4):617-626. https://doi.org/10.1007/s00418-012-0980-x